Fort Dental Center | |
3515 Fort St Lincoln Park MI 48146-4101 | |
(313) 386-9404 | |
(313) 386-9405 |
Full Name | Fort Dental Center |
---|---|
Speciality | Dentist - General Practice |
Location | 3515 Fort St, Lincoln Park, Michigan |
Authorized Official Name and Position | Fadi Samman (OWNER/PARTNER) |
Authorized Official Contact | 3133869404 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fort Dental Center 3515 Fort St Lincoln Park MI 48146-4101 Ph: (313) 386-9404 | Fort Dental Center 3515 Fort St Lincoln Park MI 48146-4101 Ph: (313) 386-9404 |
NPI Number | 1073790838 |
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Provider Enumeration Date | 01/23/2008 |
Last Update Date | 01/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073790838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Secondary |
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